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11054.081.1<br />

11054.081.1<br />

Augmentin TM<br />

amoxycillin + clavulanate potassium<br />

Page 1 Page 2 Page 3<br />

Item Code: 11054.081.1<br />

Proof 1<br />

ARTWORK APPROVAL FORM<br />

Product:<br />

Strength:<br />

Component:<br />

Augmentin Syrup<br />

228 mg/457 mg<br />

Leaflet<br />

Profile: LF035<br />

Dimensions (mm): 200 x 402<br />

Colours<br />

Tint %<br />

1 PMS Black U<br />

2 PMS 527 U<br />

3<br />

4<br />

5<br />

6 Profile<br />

Other Information<br />

Pages 1, 2 + 3<br />

Originator<br />

Richard Gearing 12 /01 / 05<br />

Verifier / /<br />

Market signature(s) for this proof demonstrates responsibility for:<br />

(a) regulatory compliance (b) legal aspect (c) text, colour & design (d) medical statements<br />

Market<br />

/ /<br />

Regulatory<br />

/ /<br />

QA Verified<br />

/ /<br />

QA 1st sample<br />

approved<br />

Name Signature Date<br />

/ /


clear area left for<br />

visibility of barcode<br />

from page 1<br />

11054.081.1<br />

Page 4 Page 5 Page 6<br />

Item Code: 11054.081.1<br />

Proof 1<br />

ARTWORK APPROVAL FORM<br />

Product:<br />

Strength:<br />

Component:<br />

Augmentin Syrup<br />

228 mg/457 mg<br />

Leaflet<br />

Profile: LF035<br />

Dimensions (mm): 200 x 402<br />

Colours<br />

Tint %<br />

1 PMS Black U<br />

2<br />

3<br />

4<br />

5<br />

6 Profile<br />

Other Information<br />

Pages 4, 5 + 6<br />

clear area left for<br />

visibility of barcode<br />

from page 1<br />

Originator<br />

Richard Gearing 12 /01 / 05<br />

Verifier / /<br />

Market signature(s) for this proof demonstrates responsibility for:<br />

(a) regulatory compliance (b) legal aspect (c) text, colour & design (d) medical statements<br />

Market<br />

/ /<br />

Regulatory<br />

/ /<br />

QA Verified<br />

/ /<br />

QA 1st sample<br />

approved<br />

Name Signature Date<br />

/ /

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